No, I don't think it's that your nurse-practitioner feels at all that she can't trust you. I
think it's an awareness of interaction between one medication and the possibility of
adverse reactions among them.

Yes, in my view, it's a good idea to talk to your psychiatrist about this. I would also
consider consulting a pain specialist to discuss the use of tylenol at the dosage you
are taking and see if he/she can recommend something less harmful to your kidneys
and in a smaller dosage that would be an extended-type release of pain medication.

I am sorry you're having to live with this. I hope the doctors will be able to look at
your list of medications and make some changes that will improve both your sensitivity
to pain and your ability to feel comfortable without having to take so many medications

Take care.